Chanceline Ngehbenwi Tibui

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA15140 Issued in DC

Practice address

2501 Good Hope Rd SE
Washington, DC 20020-3011

Phone

(716) 330-8973

NPI assigned

Mar 16, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1962038562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 SCOTT ADAM CT APT 104",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081050",
            "telephone_number": "716-330-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203011",
            "telephone_number": "716-330-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBUI",
        "first_name": "CHANCELINE NGEHBENWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA15140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Kanteng Tiba
• Cilicia Tibah
• Camilla Tibbetts
• Paul Andrew Tibbits, M.D.
• Mattie Tibbs
• Ashley Nicole Tice, AU.D.
• Divine F. Ticha
• Judith Yeager Tiddy, NP
• Lauren D Tidwell
• Eucheria Tiebia

• Home Health Aide in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Aide in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.